- Prime Therapeutics (Jefferson City, MO)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Claims Analyst - JUDI Ops Support - Remote **Job Description** The Claims ... Analyst is responsible for serving as a Claims Operations subject matter expert on system functionality which...is required + 2 years of work experience in claims processing or project lifecycle, or related roles in… more
- TEKsystems (St. Louis, MO)
- Job Title: Mechanical Claims Analyst Job Description Are you a skilled mechanic looking to shift gears in your career? We are seeking a Mechanical Claims ... expertise and in-depth knowledge of vehicle mechanics to assess and process mechanical claims . This opportunity offers a refreshing change of pace, allowing you to… more
- Centene Corporation (Jefferson City, MO)
- …in the United States.** **Position Purpose:** Ensure timely processing of pending medical claims . Verify and update information on the submitted claims . Review ... with company protocols and procedures. + Process first time claims + Apply policy and provider contract provisions to...payable + Research and determine status of medical related claims + Maintain records, files, and documentation as appropriate… more
- TEKsystems (Earth City, MO)
- …career? A leading provider of automotive warranty services is seeking a Mechanical Claims Specialist to join its expanding customer contact team. In this role, ... expertise and in-depth knowledge of vehicle mechanics to assess and process mechanical claims . This opportunity offers a refreshing change of pace, allowing you to… more
- Prime Therapeutics (Jefferson City, MO)
- …Claim Technical Analyst - JUDI Ops Team - Remote **Job Description** The Claims Technical Analyst is responsible for serving as the claims analysis ... and pharmacy remediation analysis caused by errors coded into the JUDI claims processing system. This position also researches and tests system capabilities.… more
- Elevance Health (St. Louis, MO)
- **Actuarial Analyst III** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing ... accommodation is granted as required by law. The **Actuarial Analyst III** completes very diverse and complicated projects and...Make An Impact:** + Analyze and monitor weekly incurred claims , paid claims , pharmacy, lab results, and… more
- Prime Therapeutics (Jefferson City, MO)
- …our passion and drives every decision we make. **Job Posting Title** Pricing Analyst - Remote **Job Description** The Pricing Analyst maintains, provides ... with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness &… more
- Prime Therapeutics (Jefferson City, MO)
- …our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Senior - Remote **Job Description** The Senior Pricing Analyst participates ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- Prime Therapeutics (Jefferson City, MO)
- …fuels our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Sr - Strong SQL/GCP - Remote **Job Description** The Senior Pricing ... Analyst participates in the assessment of value generated by...revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other… more
- Centene Corporation (Jefferson City, MO)
- …to ensure accuracy of coding of Clinical Coverage Guidelines (CCGs) and Claims Edit Guidelines (CEGs) and maintains authorization management tools. Participates in ... cross-functional efforts related to claims payment policy edit changes based on clinical, financial...payment policy edit changes based on clinical, financial and claims operations perspective. Provides support to the departments across… more